Tenancy Application Form Tenancy Application Form Tenancy Application Form Property Details Property Manager*Vicki HetheringtonJanine TuzzaAlicia MatthewsRequested Move in Date* Address of Property Applied* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Applicants details Title*MrMissMrsMsMxDrSirFirst Name*Surname*OccupationPhone WorkPhoto ID TypeD/L or Password NumberDrivers License 5b noSource of IncomeDate Of Birth* Email Address MobilePhone HomeWINZ IDEmployerHow long with this employer?Total Weekly Income $Second Applicant TitleMrMissMrsMsMxDrSirFirst NameSurnameOccupationPhone WorkPhoto ID TypeD/L or Password NumberDrivers License 5b noSource of IncomeDate Of Birth Email Address MobilePhone HomeWINZ IDEmployerHow long with this employer?Total Weekly Income $Motor Vehicle Details (All - if more than one)MakeModelYearRego Tenancy Details Do you have pets?NoYesPlease select petN/ADogCatPet BreedOther Type PetPet BreedNumber of Occupants (Adults)Have you ever had a tenancy terminated before?YesNoIf yes, please give detailsDo you or any occupants intend on smoking?YesNoNumber of Occupants (Children)Ages of ChildrenHave you ever had money deducted from your bond?YesNoIf yes, please give detailsCurrent AddressCan we contact your current landlordYesNoCurrent Landlord NameCurrent Landlord PhoneReferences Please list your references belowNamePhone Nearest relativeName*Phone*Relationship*Address*Any flatmates/Other Occupants (separate application form required)NameAge FilesIdentification type*Please select oneDrivers LicensePassport & VisaPassport & Visa (if required)*Drivers License*Wage Slip (Latest)*Current power account or utility accountCautions provided pursuant to the Privacy Act 1993 and other information before applying for a Residential Tenancy In terms of the Privacy Act 1993 you are given notice that: Request Information - This application asks you to provide personal information and; Recipient of Information This information is provided by you for Corporate Property Rentals. You are further advised that If you do not supply all the information requested in this form you may not be considered as the best applicant for the property or properties available and; Purpose of Collection - The information on this form is required so that the landlord is better able to assess whether you are the best applicant on merit for the tenancy and; Sign of Information - I/We advise you that you have the right to see the information I/we hold about you and; Correct Information - To correct that information in accordance with the Privacy Act 1993. Other information drawn to your attention Understanding By completing this form you are applying for a residential house/flat/apartment and if successful accept the property in the condition you have viewed it. I confirm that all the information given in this form is true and correct. I give my permission for Corporate Property Rentals to check the information given, complete credit checks and lodge my details including photo ID on TINZ (Tenancy Information NZ) and its associated databases, or any other relevant database which may be used by other property management companies. Signature of Applicant*(Enter your complete name as your signature)Date* This iframe contains the logic required to handle Ajax powered Gravity Forms.